Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.84 / $1,455.83 / $1,455.83	Facility		$856.84	$1,455.83	$1,455.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.84 / $1,455.83 / $1,808.80	Professional		$856.84	$1,455.83	$1,808.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.40 / $1,120.40 / $1,120.40	Professional		$1,120.40	$1,120.40	$1,120.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,846.80 / $1,846.80 / $2,102.30	Professional		$1,846.80	$1,846.80	$2,102.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $211.75	Professional		$122.56	$144.19	$211.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,933.44 / $2,340.89 / $3,149.56	Professional		$1,933.44	$2,340.89	$3,149.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $252.83 / $856.84 / $1,472.01	Facility		$252.83	$856.84	$1,472.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $1,900.00	Professional		$1,900.00	$1,900.00	$1,900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $648.83 / $2,528.30	Facility		$157.46	$648.83	$2,528.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $889.60 / $2,528.30	Professional		$157.46	$889.60	$2,528.30
United Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $835.19 / $1,483.92	Professional		$786.29	$835.19	$1,483.92